Hussein Ehab, Pathak Vikas, Shepherd Ray Wesley, Shojaee Samira
From Kettering Medical Center, Dayton, Ohio (E.H.); Wakemed Health and Hospitals, Raleigh, North Carolina (V.P.); and Virginia Commonwealth University, Richmond, Virginia (R.W.S., S.S.).
J Trauma Acute Care Surg. 2016 Nov;81(5):979-983. doi: 10.1097/TA.0000000000001233.
Iatrogenic tracheal laceration is a known complication of emergent endotracheal intubation. Patients with tracheal laceration present a therapeutic challenge. There is no established standard treatment approach in this patient population. Interventions reported include conservative management, stent placement, or surgery. We present our experience of tracheal tears in patients with respiratory failure successfully managed with polyurethane-covered nitinol stent, including three cases of postintubation and one case of postsurgical tracheostomy tracheal injury.
医源性气管撕裂是急诊气管插管已知的并发症。气管撕裂的患者面临治疗挑战。在这一患者群体中,尚无既定的标准治疗方法。报道的干预措施包括保守治疗、支架置入或手术。我们介绍了使用聚氨酯涂层镍钛诺支架成功治疗呼吸衰竭患者气管撕裂的经验,包括3例插管后和1例手术后气管造口气管损伤的病例。